Private Medicare Advantage can include more types of coverage than traditional plans, but it doesn't necessarily deliver more ...

The rate of Medicare Advantage (MA) claims has escalated in recent years, prompting medical and government scrutiny of prior authorization processes that slow down care in favor of cost savings.

The Centers for Medicare and Medicaid Services has rejected an appeal from Humana to improve the latter's Medicare Advantage star ratings, which could cost the insurer significant revenue in 2026. On ...

When you are sick or in pain, the prior authorization process can be frustrating and will sometimes result in a denial. If you've never been through the process, prior authorization is a requirement ...

The CMS has denied Humana’s internal appeal to improve the insurer’s Medicare Advantage bonus ratings, Humana disclosed in a filing on Tuesday in its ongoing litigation against the government for ...